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17 Cards in this Set
- Front
- Back
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What is the essential distinguishing feature of pediatric PT?
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The child is continually growing and developing
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What ages does pediatric Pt encompass?
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birth to 21 years
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Peds exam is based on..(4)
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1. developmental and behavioral milestones
2. roles of child 3. re-evals for growing child 4. Custom, culture, family dynamics and environment |
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Parent and Child interview should focus on...
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1. Major concerns of child and family
2. Best skill of child 3. Goals 4. Most important people in child's life 5. what does family like to do? |
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History of the child should include:
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Medical diagnosis
Prenatal/perinatal hx Developmental hx Review of systems including vision, hearing, nutrition, respiratory, etc. Acute illness hx Seizure disorders Family hx, congenital disorders School, behaviorl, psycho-social hx, learning disabilities, drive/motivation, discipline problems, likes/dislikes, time spent in daycare, transport, play, etc. Will dictate what toys used in therapy and how to guide treatment |
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Examination of child
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Assessment of pathological signs to confirm a diagnosis, identify the nature/extent of the dysfunction, assess residual and potential abilities being realistic with family, assess the families concerns for the child
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How to examine a young child and/or infant
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1. Observation
2. Let them show you their skills via interactive play 3. Build rapport 4. Hands on is done at the end 5. Be flexible with your agenda |
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Pre-School aged children examination
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Observation, play, explain what you are doing, self-care ADL's
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Special considerations for a child diagnosed with a mental handicap...
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Approach w/ the cognitive age rather than the chronological age.
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Physical Exam of Neuromuscular System
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-Reflexes - Milani-Comparetti, MSR
-Tone, at rest and w/ activity, Mod. Ashworth scale -Coordination/Balance -Strength |
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Musculoskeletal system physical exam should include..
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-Palpation of soft tissue and bony prominences
-Assessment of static/dynamic postures -Assessment of gait/stance -AROM, PROM -LE/UE girth, length -Postural alignment -Asymmetries |
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Sensory Examination should include...
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-Visual tracking/attending
-Auditory -Sensory processing, boyd awareness, awareness in space, motor planning, tactile input such as clothing texture, food texture. |
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What will determine what test you will use?
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-Age
-Setting -Diagnosis -Norm vs. Criterion based -Purpose of test -What does the dest involve? |
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Examination of Motor Function should include...
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-Playground, school, home, community
-Fine Motor Skills -Language Skills (receptive/expressive) -Self help/adaptive skills -Social/behavioral skills -Adaptive Equipment -Special Considerations |
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2 y.o. w/ CP, what tests?
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Peabody - 0 to 6 years old, norm-referenced
Not the GMFM because skills are based on 5 y.o. Criterian referenced. |
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7 y.o. w/ Spina Bifida, what tests?
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SFA - school age children, criteron referenced
PEDI - 7.5 years old, relates to function |
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10 y.o. w/ Gross Motor Delay, what tests?
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BOTS
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